ADVANCE CARE MEDICAL PCP GEORGIA, INC.
NPI 1679221030
Clinic/Center - Primary Care in Hiram, GA

NPI Status: Active since March 15, 2022

Contact Information

5749 WENDY BAGWELL PKWY
HIRAM, GA
ZIP 30141
Phone: (866) 668-2188

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  • Organization
  • Clinic/Center
  • Primary Care

About ADVANCE CARE MEDICAL PCP GEORGIA, INC.

This page provides the complete NPI Profile along with additional information for Advance Care Medical Pcp Georgia, Inc., a primary care provider established in Hiram, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1679221030 assigned on March 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Justin Smith (Executive Chairman)

NPI
1679221030
Provider Name
ADVANCE CARE MEDICAL PCP GEORGIA, INC.
Entity Type
Organization
Location Address
5749 WENDY BAGWELL PKWY HIRAM, GA 30141
Location Phone
(866) 668-2188
Mailing Address
3 SCHOOL ST STE 303 GLEN COVE, NY 11542
Mailing Phone
(866) 668-2188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2022
Last Update Date
03-15-2022
Code Navigator

A primary care provider (PCP) like Advance Care Medical Pcp Georgia, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN SMITH

Authorized Official Title
EXECUTIVE CHAIRMAN
Authorized Official Phone
(866) 668-2188

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679221030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614942206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 4 + 2 + 2 + 0 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1679221030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

ADVANCE CARE MEDICAL GEORGIA, INC.

Clinic/Center

(Urgent Care)

5749 WENDY BAGWELL PKWY
HIRAM, GA
ZIP 30141

(866) 668-2188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679221030, enumerated as an "organization" on March 15, 2022.

The provider is located at 5749 WENDY BAGWELL PKWY HIRAM, GA 30141 and the phone number is (866) 668-2188.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.